Individual provider Active NPI

Neda Quilantang Ballard, ADV PRACTITIONER

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1174967400
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN001492 Issued in NV
Practice address
3750 S Jones Blvd
Suite 110
Las Vegas, NV 89103-2208
Phone
(702) 876-0350
Fax
(702) 847-7437
NPI assigned
Apr 17, 2013
Last updated
Apr 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN001492 NV Primary

Addresses

Primary practice location

3750 S Jones Blvd
Suite 110
Las Vegas, NV 89103-2208

Mailing address

3750 S Jones Blvd
Suite 110
Las Vegas, NV 89103-2208
Phone (702) 876-0350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140109000616 NV Practitioner - Nurse Practitioner 0244491561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compassionate Healthcare Services LLCGroup PAC ID 6507163730, 4 clinicians

Practice addresses (Care Compare)

Las Vegas, NV 89146
Phone (702) 790-2266

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN001492NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Get Well House Calls LLC CurrentSince Mar 15, 2020 Accepting new patients
House Call Dr Regalado PLLC CurrentSince Aug 15, 2013 Accepting new patients
Healthline of Southern Nevada, LLC CurrentSince Jan 31, 2011 Accepting new patients
Compassionate Healthcare Services LLC CurrentSince Sep 1, 2016 Accepting new patients

Locations

1811 S Rainbow Blvd
Ste 108
Las Vegas, NV 89146
Phone (702) 858-7087

3160 S Valley View Blvd
Ste 203
Las Vegas, NV 89102
Phone (702) 693-4202

3750 S Jones Blvd
Ste 110
Las Vegas, NV 89103
Phone (702) 800-8969

5600 Spring Mountain Rd
Ste 101
Las Vegas, NV 89146
Phone (702) 586-9137

6370 W Flamingo Rd
Ste 24
Las Vegas, NV 89103
Phone (702) 586-0175

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Healthline of Southern Nevada, LLCLas Vegas, NV, CCN 297197 Home health agency 5% Or Greater Direct Ownership Interest (25%)
General Partnership Interest
Limited Partnership Interest
Corporate Officer
Corporate Director
W-2 Managing Employee
Operational/Managerial Control
Jan 31, 2011
Jan 31, 2011
Jan 31, 2011
Jan 31, 2011
Jan 31, 2011
Jan 31, 2011
Jan 31, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1174967400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 S JONES BLVD",
            "address_2": "SUITE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032208",
            "telephone_number": "702-876-0350",
            "fax_number": "702-847-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 S JONES BLVD",
            "address_2": "SUITE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032208",
            "telephone_number": "702-876-0350",
            "fax_number": "702-847-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "NEDA",
        "middle_name": "QUILANTANG",
        "name_prefix": "Mrs.",
        "credential": "ADV PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN001492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.